Zvinodhaka zvakagadzirirwa kuputsa uye kusunungura kubvisa muCOPD
Chimwe chezvinhu zvakakosha zvechirwere chisingaperi chinoparadza chirwere (COPD) ndicho chigadzirwa chakawandisa chemukoko mumapapu. Izvo zvinodarika, dzimwe nguva zvinonzi sekusingaperi mucus hypersecretion, inokonzerwa nekuputika kwenguva refu iyo inowedzera zvose nhamba uye nekukura kwezvinonzi "mazamu ehombe" anowedzera mhepo dzemafirimu.
Kunyange zvazvo masero emakumbo anowanzovharira mucus senzira yekudzivirirwa, neCOPD iyo inogadzirwa zvakanyanya inogona kuvhara ndima, zvichiita kuti zvive zvakaoma kufema.
Imwe nzira yekuchenesa iyi yekugadzirisa ndeyomushonga wemuromo kana nebulizi unonzi mucolytic. Mucolytics inoshanda nokupedza makemikari amabati mukati mekuvhara, kuivhuna kuitira kuti vagone kuwedzera nyore nyore.
Kunyange zvazvo mucolytics isingatariswi sechikamu chemazuva ano chekutarisira chirwere cheCOPD , mirayiridzo ye 2017 yakabudiswa ne Global Initiative for Obstructive Lung Disease (GOLD) inoratidza kuti inogona kubatsira kune vanhu vasingagamuchiri corticosteroids .
Kuratidzwa kweMucolytic Zvinodhaka Mukurapa COPD
Mucolytics inogona kutorwa nemuromo muhwendefa kana kuti mashizha ekugadzirisa kana kuputirwa nebulibuli . Mamwe emhando dzakawanda dzinowanzoshandiswa muCOPD dzinosanganisira:
- Carbocysteine
- N-acetylcysteine
- Erdosteine
- Mecysteine
- Guaifenesin
- Bromhexine
Iyo nzira yekuita inogona kusiyana nemishonga. Carbocysteine, somuenzaniso, anoshanda pane metabolism yemasero anokwira uye anopawo antioxidant uye anti-inflammatory benefits.
N-acetylcysteine, nenzira yakasiyana, inoputsa zvisungo zvinobata mucus pamwechete pamwe nekuchinja kusaenzana kwezvinokonzera uye antioxidants.
Iyo migumisiro yemigumisiro inogonawo kusiyanisa zvose nemhando yezvinodhaka uye kuumbwa. Kunyanya kutaura, kusuruvara uye chirwere ichi ndicho chinowanzosvibisa chikamu chinosanganiswa nemapiritsi, asi zviratidzo zvemvura zvinogona kukonzera maronchial spasms uye rashes.
Nebulized formulations zvinogona kuitawo saizvozvo nehuro, maruva anoputika, uye kuumbwa kwemavhenekera mumuromo kana nemiromo.
Kakawanda, mucolytics inonzi yakachengeteka uye inobatanidza nehutengo hutsika hwezviitiko zvinotambudza kune vanhu vane COPD. Nezvo zvataurwa, nguva dzose zvakakosha kutaura nachiremba wako pamusoro pemagumisiro ose, kuwirirana, kana kupesana kunobatanidza nechigadzirwa chakasvibiswa, zvingave zvakatemwa kana kutengwa pamusoro pekambani.
Kubudirira kweMucolytics muCOPD
Pasinei nekushandiswa kwakawanda kwemishonga inokanganisa muCOPD, uchapupu huripo hahusi hutsigiro hwekubudirira kwavo.
Kubvunzurudzwa kwemashure makumi matatu nemakumi matatu nemakumi matatu nemakumi matatu nemakumi matatu nemakumi matatu nemakumi matatu nemakumi matatu ekupedzisira kwakaitwa kuti avo vakatora mucolytics vakanga vasingakwanisi kuve nekuwedzerwa kweCOPD . Mukuongorora mitsva, zvisinei, izvi zvakashandurwa kuderedza kuderera kwekuwedzerwa kwemakore matatu ose. Zvimwe zvidzidzo zvakanyanyisa kufungidzira zvakafanana.
Asi, pasinei nezvikanganiso izvi, vamwe vakataura kuti mucolytics vane nzvimbo mune chirongwa cheCOPD. Zvichipa zvinetso pamusoro pekuchengetedzwa kwenguva refu yekushandiswa kwegroticosteroid , pane mazano avanogona kunge akakodzera muCOPD yakanyanyisa umo dambudziko rekuwedzera riripamusoro pasinei nekushandisa steroid.
Mucolytics inogona, mumatambudziko aya, kubatsira kuderedza kuwanda kwekuwedzera uye kupa humwe huri nani huri hupenyu hwehupenyu.
Imwe nzvimbo inobatanidza neBronchitis Randomized paNAC Cost-Utility Study (BRONCUS) yakagumisa zvakare kuti, kana inoshandiswa nekarticosteroid inoputika, mishonga inotyytic inogona kuderedza kuwedzerwa kweCOPD nekusvika 21 muzana.
Mucolytics inogonawo kubatsira kune vanhu vasingadi kushamwaridzana nekodticosteroids kana kuti vane dambudziko nehonikari inhalers.
Sources:
> Global Initiative Yezvokudya Zvisingagumi Zvirwere Zvirwere. (2017) Nhungamiro yePocket kuCOPD Kuziva, Kutarisira, nekudzivirira: Mutungamiri weZviviro zvehutano (2017 Report) .
> Loukides, S .; Bakakos, P .; uye Kostikas, K. "Mucolytics muCOPD: Sewaini tsvuku?" PNEUMON. 2013; 4 (26): 1-4.
> Poole, P .; Chong, J .; uye Cates, J. "Mucolytic agents versus placebo yechirwere chisingarapiki kana chirwere chisingaperi cheplmonic pulmonary." Cochrane Database Syst Rev. 2015; 29: 7: CD001287.